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Nursing theory

Cintia Koerich, Alacoque Lorenzini Erdmann
Objective: to understand significances attributed by nurses who manage nursing care to the individual affected by cardiovascular disease to relations, interactions and associations of the educational practices in a cardiovascular reference hospital. To elaborate a theoretical explanatory model based on significances attributed in the light of the complex thinking. Method: qualitative study, which used Theory Based on Data (TBD) as methodological reference. Twenty-two professionals of nursing participated in the study...
September 2016: Revista Brasileira de Enfermagem
Álvaro Francisco Lopes de Sousa, Artur Acelino Francisco Luz Nunes Queiroz, Layze Braz de Oliveira, Maria Eliete Batista Moura, Odinéa Maria Amorim Batista, Denise de Andrade
Objective: to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care. Methods: exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification. Results: five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity...
September 2016: Revista Brasileira de Enfermagem
Maria do Rosário de Araújo Lima, Maria Luísa de Almeida Nunes, Berta Lúcia Pinheiro Klüppel, Soraya Maria de Medeiros, Lenilde Duarte de Sá
Objective: to analyze the performance of nurses from the Estratégia Saúde da Família (Family Health Strategy) on health care practices rooted in African and Indigenous cultures. Methods: Thematic Oral History was used and interviews were conducted with seven participants, who worked with Primary Health Care in Northeastern Brazil. The analysis was based on Leininger's Theory of Cultural Care and the intercultural concept of human rights, among others. Results: nurses are unaware of the religious and historical context of the ethnic groups cared for and do not appreciate their self-care practices in areas with a predominance of African and indigenous cultures...
September 2016: Revista Brasileira de Enfermagem
Y Seki, A Kakinuma, T Kuchii, K Ohira
BACKGROUND: Chronically ill children are increasingly expected to join their peers in regular classrooms. However, sometimes schools do not provide adequate assistance. This study explores nursing teachers' thoughts and experiences on integrating such students into regular classrooms in Japan. METHODS: We analysed 79 essays written by nursing teachers collectively titled 'The challenges of having chronically ill children in regular classrooms'. We conducted a qualitative study using Kinoshita's Modified Grounded Theory Approach...
October 25, 2016: Child: Care, Health and Development
Roberta Pawlak
Demand for nurses is influenced by many factors. Labor statistics and health services literature reveal current and predicted supply gaps in meeting this demand. One strategy in response can be drawn from manufacturing industries. This column suggests the application of the Theory of Constraints in efforts to relieve bottlenecks in producing and retaining nurse labor.
November 2016: Journal of Nursing Administration
Jeffrey M Adams
This department highlights emerging nursing leaders who have demonstrated leadership in advancing innovation and patient care in practice, policy, research, education, and theory. This interview profiles Casey Shillam, PhD, RN, associate dean for baccalaureate education, University of Portland School of Nursing, Oregon.
November 2016: Journal of Nursing Administration
A Daftary, N Padayatchi
OBJECTIVE: To examine influences on health care workers' (HCWs') capacity to deliver health care for multi- and/or extensively drug-resistant tuberculosis (MDR/XDR-TB) and human immunodeficiency virus (HIV) infection in South Africa. DESIGN: Qualitative data were collected via group and individual interviews with a purposive sample of 17 HCWs at a centralised, tertiary TB facility and analysed using grounded theory. RESULTS: Four themes were identified: 1) personal infection control practices among HCWs may be weakened by a workplace culture comprising low motivation, disparate risk perceptions and practices across workforce hierarchies, physical discomfort, and problems managing patients with treatment-induced hearing loss...
November 2016: International Journal of Tuberculosis and Lung Disease
Judy Craft, Martin Christensen, Shannon Bakon, Lisa Wirihana
BACKGROUND: Nursing students' ability to learn, integrate and apply bioscience knowledge to their clinical practice remains a concern. OBJECTIVES: To evaluate the implementation, influence, and student perspective of a team-teaching workshop to integrate bioscience theory with clinical nursing practice. DESIGN: The team-teaching workshop was offered prior to commencement of the university semester as a refresher course at an Australian university...
October 18, 2016: Nurse Education Today
Jane Desborough, Nasser Bagheri, Michelle Banfield, Jane Mills, Christine Phillips, Rosemary Korda
BACKGROUND: The numbers of nurses in general practice in Australia tripled between 2004 and 2012. However, evidence on whether nursing care in general practice improves patient outcomes is scarce. Although patient satisfaction and enablement have been examined extensively as outcomes of general practitioner care, there is little research into these outcomes from nursing care in general practice. The aim of this study was to examine the relationships between specific general practice characteristics and nurse consultation characteristics, and patient satisfaction and enablement METHODS: A mixed methods study examined a cross-section of patients from 21 general practices in the Australian Capital Territory...
October 17, 2016: International Journal of Nursing Studies
Divya Talwar, Tung-Sung Tseng, Margaret Foster, Lei Xu, Lei-Shih Chen
PURPOSE: The completion of the Human Genome Project has enhanced avenues for disease prevention, diagnosis, and management. Owing to the shortage of genetic professionals, genetics/genomics training has been provided to nongenetic health professionals for years to establish their genomic competencies. We conducted a systematic literature review to summarize and evaluate the existing genetics/genomics education programs for nongenetic health professionals. METHODS: Five electronic databases were searched from January 1990 to June 2016...
October 20, 2016: Genetics in Medicine: Official Journal of the American College of Medical Genetics
Sandy Middleton, Chris Levi, Simeon Dale, N Wah Cheung, Elizabeth McInnes, Julie Considine, Catherine D'Este, Dominique A Cadilhac, Jeremy Grimshaw, Richard Gerraty, Louise Craig, Verena Schadewaldt, Patrick McElduff, Mark Fitzgerald, Clare Quinn, Greg Cadigan, Sonia Denisenko, Mark Longworth, Jeanette Ward
BACKGROUND: Internationally recognised evidence-based guidelines recommend appropriate triage of patients with stroke in emergency departments (EDs), administration of tissue plasminogen activator (tPA), and proactive management of fever, hyperglycaemia and swallowing before prompt transfer to a stroke unit to maximise outcomes. We aim to evaluate the effectiveness in EDs of a theory-informed, nurse-initiated, intervention to improve multidisciplinary triage, treatment and transfer (T(3)) of patients with acute stroke to improve 90-day death and dependency...
October 18, 2016: Implementation Science: IS
Katja Bohner
Transitions Theory (TT) states that change and transition are phenomena that make humans more vulnerable to health risks. Transitions Theory was evaluated through a text analysis of 4 publications, 3 nursing expert focus group interviews in Switzerland, and a mapping review of the transition literature of the last 5 years. Although the implementation of TT into Swiss nursing practice seems problematic due to conceptual deficiencies, transition is a meaningful nursing topic. The connection between TT, research, and practice is weak...
October 3, 2016: ANS. Advances in Nursing Science
Mary Thuss, Yolanda Babenko-Mould, Mary-Anne Andrusyszyn, Heather K S Laschinger
The purpose of this study was to explore Rwandan nursing clinical instructors' (CIs) experiences of structural and psychological empowerment. CIs play a vital role in students' development by facilitating learning in health care practice environments. Quality nursing education hinges on the CI's ability to enact a professional role. A descriptive qualitative method was used to obtain an understanding of CIs empowerment experiences in practice settings. Kanter's Theory of Structural Power in Organizations and Spreitzer's Psychological Empowerment Theory were used as theoretical frameworks to interpret experiences...
October 15, 2016: International Journal of Nursing Education Scholarship
Sari Ahlqvist-Björkroth, Zack Boukydis, Anna Margareta Axelin, Liisa Lehtonen
Parents of preterm infants commonly experience separation from their infant or exclusion from their role as primary caregivers during the hospital care of their infant, which may impair parent-infant bonding and parents' psychological well-being. Therefore, we developed the Close Collaboration with Parents™ intervention to improve staff skills in communicating and collaborating with parents in neonatal intensive care units (NICU), to increase parents' presence and participation into infant care, and to improve parent-infant bonding and, thereby, parents' psychological well-being and later child development...
October 12, 2016: Behavioural Brain Research
M K Ju, S Son, S Kim
BACKGROUND: The purpose of this study was to understand the adjustment process after kidney transplantation. METHODS: The research method followed grounded theory methodology of Strauss and Corbin. Twelve recipients after kidney transplantation were selected. The data were collected through in-depth, face-to-face interviews or e-mailing or phone-interviews and analyzed by means of a constant comparative method. RESULTS: Through the category analysis, "struggling for independence" was verified as the central phenomenon of recipients, and the causal conditions that influence this phenomenon were "unpredictable physical status," "the difficulty of self-care," "apathy of families and friends," and "emotional instability...
September 2016: Transplantation Proceedings
Joan Garvan
BACKGROUND: Changes to gendered norms have been the single most significant development in the second part of the twentieth century; practices within families have mirrored these changes. Many, however, are falling by the wayside after the birth of an infant, with high rates of marital breakdown, high rates of anxiety and depression, and significant issues related to identity. OBJECTIVES/AIMS: The aim of this research was to gauge how a sample of Australian women were travelling through the Transition to Parenthood, particularly in terms of their relationships; sharing the care and housework; their life course; and their sense of self...
October 14, 2016: Contemporary Nurse
Nadine Thompson, Margaret Murphy, John Robinson, Thomas Buckley
INTRODUCTION: Due to increasing demands on hospital Emergency Departments (EDs), the role of registered nurses, with additional training, has been extended to include requesting X-ray examinations. The aim of this study was to evaluate nurse practice guidelines for requesting X-rays in the ED setting and to utilise inter-professional learning and change management theory to promote practice improvements. METHODS: Three hundred and one nurse initiated X-ray (NIX) requests were randomly selected between January and March 2012, and reviewed for observance of local department guidelines and quality of clinical history...
October 12, 2016: Journal of Medical Radiation Sciences
Elisabeth Coyne, Karin B Dieperink
BACKGROUND: The nurses' ability to provide supportive care to the patient and the family is influenced by their family assessment skills, which provide them with understanding of the family needs and strengths. When a patient is diagnosed with cancer, it is the family who provides the long-term support for the patient, and nurses need to understand the family needs in order to provide holistic care. OBJECTIVE: The objective of the present study is to understand the factors that influence nurses' family assessment practices in adult oncology setting in Denmark and Australia...
October 10, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Karin Page-Cutrara, Melanie Turk
BACKGROUND: Prebriefing is the introductory phase of the simulation process, however, little nursing education research is available on this aspect of simulation. Reflection theory and concept mapping informed a model-based structured prebriefing activity to prepare students for meaningful simulation learning. OBJECTIVES: The aim of this study was to examine the intervention of structured prebriefing for its effect on nursing students' competency performance, clinical judgment and their perceived prebriefing experience...
September 24, 2016: Nurse Education Today
Wendy Clyne, Sarah McLachlan, Comfort Mshelia, Peter Jones, Sabina De Geest, Todd Ruppar, Kaat Siebens, Fabienne Dobbels, Przemyslaw Kardas
OBJECTIVES: The objectives of this study were to determine the perceptions of European physicians, nurses, and pharmacists about the extent of nonadherence by patients in their country relative to their perception of nonadherence by their own patients, and to investigate the occurrence of optimistic bias about medication adherence. The study explored a key cognitive bias for prevalence and likelihood estimates in the context of health care professionals' beliefs about patients' use of medicines...
2016: Patient Preference and Adherence
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